ST9302-CR000315IATER MAIN CONSTRUCTION
NSPECTOR'S DALLY REPORT
o ,E:
REPORT.
NO, WHY?)
'CATION OF LINE {,.~: ' ~ !__~
~ ' - ITEM #
UANTITY ITEM STATION
Ft. Pipe: Size Type
Ft. Class i Embl in Rock
Ft, Class ..Emb. in Earth
Ft. Class Gr. Mat'l
Ft. Polyethylene Wrap
Ft. Pipe: Size Type
Ft. Class Emb, in Rock
Ft. Class Emb. in Earth
Ft. Class Gr Mat'l
Ft. Polyethylene Wrap
AD HEAD SERVICES INSTALLED ,
JANTITY SIZE BLOCK LOT NO. ITEM #
EA. INCH
EA. INCH
TINGS, VALVES, FIRE
ITEM NUMBER
· IYDRANTS, PAVING, ETC.
DESCRIPTION
Ft, Inches Thick Over
Ft. Inches Thick Over.
~' V I ~ #Concrete For: ~;~ti;,¢~?i.?~~-
/Cy Rock Foundation LocCfion:
Cy Stab, Backf Location;
Pipe: Stations:
Pipe: Stations:
Location:
ITEM #
F BACK F kk AND CLEAN UP WORK SATISFACTORY? ~-J~ ARE ALL DITCHES AND OTHER OBSTRUCTIONS AND HAZARDS TO PUBLIr
E PROGRESS 0 - - (Y,r~ OR NO)
rY PROPERLY BARRICADED? "~ NO, PERSONS WORKING ON ~OB: COMMENTS;
(CONTINUED ON REVERSE ~_~ --~
SiDE IF REQUIRED) ~ INEPECTOR
~he Contractor: -- I agree that the above report is correctwith the following exceptions:. ~'
FORM 171 % WTU-01129
PATER MAIN CONSTRUCTION
NSPECTOR'S DALLY REPORT
CITY OF DALLAS WATER DEPARTMENT
.cuss,
RE,O...
P'gB
NO, WHY?).
CATION OF LINE
UANTITY ITEM J '~-'"' STATION '~'~ ITEM #
Ft. Pipe: Size ~¢_~ Type ~'¢("('~0 ·
Ft, Class .Emb. in Reck
Ft. Class ~ Emb. in EaCh .
Ft. Class ~ Gr. Mat'l ?0 J
Ft. Polyethylene Wrap
Ft. Pipe: Size TyCe
Ft. Class Emb. in Rock
Ft. Class Emb. in Eadh
Ft. Class Gr Mat'l
Ft. Polyethylene Wrap
AD HEAD SERVICES INSTALLED
JANTITY SIZE BLOCK LOT NO. ITEM #
EA. INCH
EA. INCH
rINGS, VALVES, FIRE HYDRANTS, PAVING, ETC.
ITEM NUMBER
DESCRIPTION
Ft Inches Thick Over Pipe: Stations:
Ft. Inches Thick Over Pipe: Stations:
Rock #Concrete For: Location:
Cy Foundation Location:
Cy Stab. Backfill Location:
ITEM #
OF BACK-FILL AND CLEAN*UP WORK SATISFACTORY? ~ ARE ALL DITCHES AND OTHER OBSTRUC'FIONS AND HAZARDS TO PUBLIf
PROGRESS ( ES OR NO)
'y PROPERLY I~ARR,CADED?~ NO. PERSONS, cONT,NUED ON REVERsEWORK'NG OI~JE;~O:R NO) ~ ~COMMENTS~~
SiDE IF REQUIRED) INSPECTOR
he Contractor: -- I agree that the above report is correctwith the following exceptions:
FORM 171 WTU-01129